WAVERLEY SURGERY CENTER LLC (NPI# 1619944824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619944824 |
| Entity Type | Organization |
| Organization Name | WAVERLEY SURGERY CENTER LLC |
| Practice Address |
400 Forest Ave Palo Alto CA 94301-2608 |
| Mailing Address |
1a Burton Hills Blvd Attn: L&c Nashville TN 37215-6187 |
| Practice Telephone | 6503240600 |
| Practice Fax Number | 6502891620 |
| Mailing Telephone | 6152403820 |
| Mailing Fax Number | 6152341720 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2015-07-13 |
| Authorized Official Name | MR. PHILLIP CLENDENIN (PRESIDENT OF LLC) |
| Authorized Official Telephone | 6152403820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
220000472 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | SUR01547F | 01 |
| Street Address |
400 FOREST AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94301-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
| 1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
| 1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
| Find all providers in zip 94301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457707473 | Targ Surgery Center | Clinic/Center | 800 E Greenwich Pl, Palo Alto, CA 94303-3416 | 2016-05-09 |
| 1013399989 | Palo Alto Surgery Center | Clinic/Center | 695 High St, Palo Alto, CA 94301-1626 | 2015-06-26 |
| 1912214685 | Jennifer Baron, Md, A Medical Corporation | Clinic/Center | 143 Rinconada Ave, Palo Alto, CA 94301-3726 | 2010-09-01 |
| 1114400280 | Alma At Addison Surgery Center, LLC | Clinic/Center | 105 Addison Ave, Palo Alto, CA 94301-2401 | 2018-09-13 |
| 1952669533 | Premier Plastic Surgery Center | Clinic/Center | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2012-05-02 |
| 1679892491 | Premier Plastic Surgery | Clinic/Center | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2010-05-18 |
| 1104067115 | Sutter Bay Medical Foundation | Clinic/Center | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2009-03-20 |
| 1477675841 | Plastic Surgery Center LLC | Clinic/Center | 1515 El Camino Real, Suite A, Palo Alto, CA 94306-1052 | 2007-04-04 |
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| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.